NCLEX Style pharm questions

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?

Avoid caffeine while taking this medication

A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor theclient for which of the following electrolyte imbalances?

Hyperuricemia

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

Hypotension

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statementsby the client indicates an adverse effect of the medication?

"I feel nauseated and have no appetite."

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates aneed for further teaching? Group of answer choices

"I have started taking ginger root to treat my joint stiffness."

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? Group of answer choices

Insomnia

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

"Chew on sugarless gum or suck on hard, sour candies."

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for fluticasone and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

"I will be sure to take the albuterol before taking the fluticasone."

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

"I will take this medication 1 hour before meals and at bedtime."

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

"I've been taking an antacid to help with indigestion."

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals.Which of the following responses should the nurse make? Group of answer choices

"Taking the medication between meals will help you absorb the medication more efficiently."

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

"The medication relieves nausea by promoting gastric emptying."

A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?

"Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? Group of answer choices

"You should report any tendon discomfort you experience while taking this medication."

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

Monitor the serum medication levels.

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Administer a short-acting ß2 -agonist (SABA).

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which ofthe following adverse effects:

Adrenocortical insufficiency

A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

Allopurinol

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

Amoxicillin-clavulanate

A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior tobeginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which ofthe following reasons is this verification necessary?

An excess amount of doxorubicin can lead to cardiomyopathy

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports which of the following manifestations?

An inability to void

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? Group of answer choices

Asthma

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

BUN 55 mg/dL

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects?

Body secretions turning a red-orange color

A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor(MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?

Bologna sandwich

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should thenurse take first?

Check the client's vital signs.

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Whichof the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count.

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Decrease in level of thyroid stimulating hormone (TSH).

nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? Group of answer choices

Decreased sodium level

A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?

Diazepam can cause drowsiness.

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications,including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? Group of answer choices

Relief of heartburn

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr.A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtainan accurate gentamicin serum level?

Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose.

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?

Expect the NPH insulin to peak in 6 to 14 hr.

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication?

History of gastric ulcers

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Iron

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription forsildenafil. Which of the following medications currently prescribed for the client is a contraindication to takingsildenafil?

Isosorbide

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

Keep the open vial of insulin at room temperature.

A nurse is planning to administer butorphanol to a client who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?

Naloxone

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which ofthe following medications should the nurse have available to reverse heparin's effects?

Protamine sulfate

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Prothrombin time (PT)

A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method?

St. John's wort

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IVbolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzyand short of breath. Which of the following actions should the nurse take first?

Stop the infusion.

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is forwhich of the following purposes?

Suppress respiratory effort

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Systolic blood pressure is increased

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Whichof the following instructions should the nurse provide? Group of answer choices

Take the medication with orange juice to enhance absorption.

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication.

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? Group of answer choices

The client holds his breath for 10 seconds after inhaling the medication

A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a newprescription for timolol eye drops. Which of the following instructions should the nurse provide?

The medication should be applied on a regular schedule for the rest of the client's life.

A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

Use an electric razor while on this medication

A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority? Group of answer choices

respiratory rate